- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,318.31 / $5,463.36 / $13,841.56
| Facility | | $2,318.31 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,243.81 / $3,040.94 / $5,708.62
| Facility | | $2,243.81 | $3,040.94 | $5,708.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.68 / $111.23 / $7,772.00
| Facility | | $61.68 | $111.23 | $7,772.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.46 / $156.88 / $3,145.09
| Facility | | $117.46 | $156.88 | $3,145.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,044.00 / $3,726.00 / $7,934.00
| Facility | | $3,044.00 | $3,726.00 | $7,934.00 |